Active NPI
Paul Spencer Ruble, D.O.
- Anesthesiology Physician
- Thomson, GA
National Provider Identifier
1518033091
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective May 20, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 64754
- Practice address
- 2173 Foster Sprouse Rd
Thomson, GA 30824-6918 - Phone
- (706) 595-3806
- NPI assigned
- Nov 28, 2006
- Last updated
- Aug 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2139 | OK | |
| Anesthesiology Physician | 207L00000X | 64754 | GA | Primary |
Addresses
Primary practice location
2173 Foster Sprouse Rd
Thomson, GA 30824-6918
Mailing address
2173 Foster Sprouse Rd
Thomson, GA 30824-6918
Phone (706) 595-3806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2139 | OK | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470009600000",
"number": "1518033091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2173 FOSTER SPROUSE RD",
"city": "THOMSON",
"state": "GA",
"postal_code": "308246918",
"telephone_number": "706-595-3806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2173 FOSTER SPROUSE RD",
"city": "THOMSON",
"state": "GA",
"postal_code": "308246918",
"telephone_number": "706-595-3806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBLE",
"first_name": "PAUL",
"middle_name": "SPENCER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2016-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "2139",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "64754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.